Provider Demographics
NPI:1528577780
Name:PEAK ENDODONTICS
Entity Type:Organization
Organization Name:PEAK ENDODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:MARESCA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:919-363-1419
Mailing Address - Street 1:1600 OLIVE CHAPEL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-6765
Mailing Address - Country:US
Mailing Address - Phone:919-363-1419
Mailing Address - Fax:919-654-6244
Practice Address - Street 1:1600 OLIVE CHAPEL RD STE 100
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-6765
Practice Address - Country:US
Practice Address - Phone:919-363-1419
Practice Address - Fax:919-654-6244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty